Individual
VANESSA ANN WALLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L. AC.
Contact information
Practice address
3450 MONTGOMERY RD, AURORA, IL 60504-3149
(630) 236-8600
(630) 236-8612
Mailing address
3450 MONTGOMERY RD, AURORA, IL 60504-3149
(630) 236-8600
(630) 236-8612
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198001277
IL
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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